Individual provider · Type 1 NPI
Gerald Elmer Stark
Prosthetist · Signal Mountain, TN
NPI number
1184501991
Active
Practice location
326 N Palisades Dr
Signal Mountain, TN 37377-3041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotist | 222Z00000X | ORT0000000013 (TN) |
| Prosthetist Primary | 224P00000X | PR00000000014 (TN) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
About NPI 1184501991
Gerald Elmer Stark's National Provider Identifier is 1184501991, issued on Aug 21, 2025. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Signal Mountain, TN. The record was last updated on Aug 21, 2025.